Gomez, Carlos Manuel
Gomez, Carlos Manuel is an sole proprietor health care provider with primary practice located at 2010 Nw 150Th Ave Ste 120 , Pembroke Pines FL 33028-2888. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Gomez, Carlos Manuel can be contacted via phone (954) 719-6280.Contact Information
Primary practice address
2010 Nw 150Th Ave Ste 120
Pembroke Pines FL 33028-2888
Phone: (954) 719-6280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | APRN11007700 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN11007700 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 11007700 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11007700 | Florida |
Profile Details
| NPI number | 1407466774 |
|---|---|
| LBN Legal business name | Gomez, Carlos Manuel |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2020 |
| Last updated | Dec 13th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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